Organization
LAVENDER MEDICINE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DAVID WILLIAM LAVENDER MD (OWNER)
(505) 933-9320
Entity
Organization
Contact information
Practice address
2201 MENAUL BLVD NE STE A, ALBUQUERQUE, NM 87107-1711
(505) 933-9320
Mailing address
2201 MENAUL BLVD NE STE A, ALBUQUERQUE, NM 87107-1711
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
07/21/2023
Last updated
07/21/2023
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